[Answered]: A 4-day old newborn, 38-week gestation vaginal…

A 4-day old newborn, 38-week gestation vaginal delivery female, is brought to your clinic with her parents. She has been nursing every 2-3 hours with 4-5 dirty diapers a day. Her birth weight was 8lb 1 oz. Current weight is 7lb 15 oz. She has been sleeping about 18-20 hours a day. Apgar’s were 8,9 with no complications during pregnancy or delivery. No other PMH or FMH. Parents and older sister state “everything has been going well so far”. Listen to a recording of the PDA murmur. 1. What are your top five differentials beyond a PDA murmur? 2. Write out your exam on this newborn patient. You note normal findings except a grade 2/6 murmur at the left sternal boarder. 3. What would your treatment plan be for this patient? What education would you provide to the parents?